MEMBERSHIP

Owl Membership minimum 10 (Junior 5). Please complete
and send with your cheque. If you prefer to pay by
Bankers Order give relevant details.
Name......................................................................................
Date of Birth of junior..............................................................
Address..................................................................................
...............................................................................................
...............................................................................................

BANKER'S ORDER

Please pay .............. on the first day of ...................................
starting on .................... 19 ......... and a like sum on the
same date each year untill further notice.
My signature..........................................................................
To the manager, ....................................................................
Bank,.....................................................................................
..................................................A/C No ..............................
Please pay to the Account of Mousehole Wild Bird Hospital &
Sanctuary Association Ltd (A/C 0083828 ) at Lloyds Bank
Ltd, Penzance, Cornwall (sort code 30-96-56)
If you are a tax payer please complete the Covenant Form to
enable the Bird Hospital to reclaim the tax paid from the Inland
Revenue. This increases your gift at no extra cost to yourself

COVENANT

I (full name) .............................................................................
................................................................................................
of (address) .............................................................................
................................................................................................
................................................................................................
starting on .................... 19 ............ promise to pay the
Mousehole Wild Bird Hospital during my lifetime
the sum of ...................... after deduction of income
tax at the basic rate for a minimum period of four years
from the date here under OR until such later time as I
give notice in writing.
(date) .......................................................... 19 ..................
Signed, sealed and delivered by me .....................................
............................................................................................
in the presence of ................................................................
Address ..............................................................................
............................................................................................
............................................................................................
when completed, please send to:

The Mousehole Wild Bird
Hospital & Sanctuary, Mousehole, Penzance, Cornwall TR19 6SR

(Registered Charity No. 272145 ).
Owl

The History How you can help Home Membership & Covenants Our aims & Map